Individual
MAUREEN E GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24560
MD
225100000X
Physical Therapist
PT010176L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209209000
KEYSTONE EAST
—
01
—
20033074
AMERIHEALTH MERCY
—
01
—
50026508
CAPITAL
PA
01
—
522509
HIGHMARK
PA
01
—
522509
PERSONAL CHOICE
—
01
—
PT010176L
US DEPT OF LABOR ACS
—
Enumeration date
06/06/2006
Last updated
04/01/2015
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